Providing opportunistic immunisations for at‐risk inpatients in a tertiary paediatric hospital

Elia, Sonja; Perrett, Kirsten P.; Newall, Fiona

doi:10.1111/jspn.12167

Cited by 13 publications

(34 citation statements)

References 11 publications

(10 reference statements)

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“…26 However, the hospital offers a trustworthy setting for the vaccination of patients with chronic or rare diseases, because it is the reference environment and perceived as being safer. 27 Our study suggests the need to promote correct vaccination timing in a population already at increased risk of infections and complications, to issue recommendations and to dispel incorrect contraindications. 26 The difference in vaccination coverage for the 2nd MMR and varicella doses between hematological and oncological patients can be explained by the fact that both vaccines should be administered between the 5th and 6th year of life; however this is the age at which most oncological pathologies are diagnosed.…”

Section: Discussionmentioning

confidence: 90%

Vaccination coverage among paediatric onco-haematological patients: an Italian cross-sectional study

Giordano

Santoro²,

Stefanizzi

et al. 2020

Human Vaccines & Immunotherapeutics

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Children with onco-hematological diseases are at increased risk of infection. However, this risk can in part be controlled or reduced using currently available vaccines. Despite available evidence, in patients diagnosed with a hematological or oncological disease the vaccination schedule is often inappropriately discontinued. In this study we evaluated whether the diagnosis of an oncological or hematological disease is a determinant of noncompliance with recommended vaccinations. The study was carried out between March and April 2019. The population was composed of a convenience sample of 228 children cared for in the Pediatric Oncology Department and Pediatric Hematology Department of the Policlinico Giovanni XXIII Pediatric Hospital (Bari, Italy) from 2005 to 2015. Information on the immunization status of the patients was obtained from the Apulia regional immunization database (GIAVA). A post-diagnosis adherence score was calculated. The vaccination coverage was 87.7% for the DTaP-IPV-Hep B-Hib vaccine (3 doses), 68.7% for the pneumococcal vaccine (3 doses), 75.8% for the MMR vaccine (2 doses) and 75.1% for the varicella vaccine (2 doses). The average age at vaccination was older than that recommended by the National Vaccination Plan. A diagnosis of oncological disease and an older age at enrollment were risk factors for missing vaccinations. These results showed that the overall vaccination status of pediatric onco-hematological patients is suboptimal. Improving provider communication and establishing the hospital as the primary environment for vaccine administration may lead to better vaccination compliance in this group.

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Section: Discussionmentioning

confidence: 90%

Vaccination coverage among paediatric onco-haematological patients: an Italian cross-sectional study

Giordano

Santoro²,

Stefanizzi

et al. 2020

Human Vaccines & Immunotherapeutics

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“…Pappano et al [36], for instance, found higher coverage (57%) among at-risk children who were offered the influenza vaccine in a paediatric emergency department compared to those who were given education on where to obtain the vaccine (36%). Furthermore, while participants in this study were reluctant to vaccinate inpatients, on-ward vaccination programs have been shown to be feasible when there is collaboration with the inpatient clinical team [37]. The provision of influenza immunisation through dedicated vaccination clinics has also been trialled in several Australian hospitals, with a subsequent increase in the number of vaccinations administered [38].…”

Section: Discussionmentioning

confidence: 99%

Exploring strategies to promote influenza vaccination of children with medical comorbidities: the perceptions and practices of hospital healthcare workers

Palasanthiran

Seale

2019

BMC Health Serv Res

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BackgroundTo explore how the influenza vaccine is promoted and delivered to children with medical comorbidities in the hospital setting, as well as the facilitators of and barriers to vaccination from the healthcare worker perspective.MethodsSemi-structured interviews were conducted with staff members (n = 17) at a paediatric hospital in Sydney, Australia between April and July 2018. This included nurses, clinical nurse consultants, pediatricians and department heads. The interviews were transcribed and analysed iteratively to generate the major themes.ResultsApproaches used to promote and/or deliver the influenza vaccine varied among the participants. Some described the vaccine as an ingrained component of their clinical consultation. Others acknowledged that there was missed opportunities to discuss or provide the vaccine, citing competing priorities as well as a lack of awareness, time and resources. Participants perceived that some parents had concerns about safety and appropriateness of the vaccine for their child. While there was some support for sending reminders and/or educating patients through the hospital, there were differing perspectives on whether tertiary centres should be delivering the vaccine.ConclusionHospital-based interventions to increase vaccine uptake must consider the needs of staff. Easily accessible information and increased awareness of the recommendations among staff may lead to improved uptake in this hospital. Additional resources would be required to increase on-site delivery of the vaccine.

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“…Elia et al 9 targeted children with medical conditions in the Royal Children's Hospital in Proportion not up to date…”

Section: Discussionmentioning

confidence: 99%

Improving the accuracy of ACIR data and increasing vaccination rates

2019

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Immunisation at the earliest appropriate age and high levels of vaccine coverage at milestone ages are important in preventing the spread of vaccine-preventable diseases. At the Central Coast Public Health Unit, the authors sought to determine if follow-up of children said by the Australian Childhood Immunisation Register (ACIR) to be overdue for vaccination improved both of these factors. In a quality improvement activity, monthly ACIR lists of overdue Central Coast children aged 9 to 10 months of age were examined. The study alternated three months of intervention with three months of no intervention. The intervention was designed to find evidence of vaccination, first from the last known provider, and then if this was unsuccessful, from the parent. If no information was available, a letter was sent to the parents. If the child was indeed vaccinated, the register was updated. If the child was missing any vaccinations, the parent(s) were encouraged to complete the schedule. On reviewing routinely-published quarterly ACIR data at three-monthly intervals for 24 months after the intervention (or non-intervention), timeliness of vaccination improved in the intervention cohort. Central Coast fully vaccinated rates diverged from NSW rates during the study. In addition, the ACIR quarters that contained two out of three months of intervention rather than one out of three months of intervention had the highest rates of fully vaccinated children. The authors concluded that the intervention improved both timeliness of vaccination and the proportion of fully vaccinated children.

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Providing opportunistic immunisations for at‐risk inpatients in a tertiary paediatric hospital

Cited by 13 publications

References 11 publications

Vaccination coverage among paediatric onco-haematological patients: an Italian cross-sectional study

Vaccination coverage among paediatric onco-haematological patients: an Italian cross-sectional study

Exploring strategies to promote influenza vaccination of children with medical comorbidities: the perceptions and practices of hospital healthcare workers

Improving the accuracy of ACIR data and increasing vaccination rates

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